Petersen, Daniel S

Petersen, Daniel S is an individual health care provider with primary practice located at 2844 Index Rd , Fitchburg WI 53713-3117. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Petersen, Daniel S can be contacted via phone (608) 229-7979.

Contact Information

Primary practice address
2844 Index Rd Fitchburg WI 53713-3117
Phone: (608) 229-7979
Fax: (608) 229-8110
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 125.073406 Illinois
Allopathic & Osteopathic Physicians / Sleep Medicine 207QS1201X 77190-20 Wisconsin

Profile Details

NPI number 1578049763
LBN Legal business name Petersen, Daniel S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2018
Last updated Aug 3rd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578049763 NPPES
Wisconsin MEDICAID 1578049763

Popular Providers